Fortune First Assist LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

FORTUNE FIRST ASSIST LLC

Practice address

5099 Sportsman Lake Rd
Elizabethtown, KY 42701-8216

Phone

(270) 369-8984

Fax

(270) 369-8562

NPI assigned

Apr 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Fortune, SACNPI 1073668067

Title

President

Phone

(270) 369-8984

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Dale Fortune

  • Surgical Technologist
  • Elizabethtown, KY
  • NPI 1073668067
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194945477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 SPORTSMANS LAKE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-369-8984",
            "fax_number": "270-369-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5099 SPORTSMAN LAKE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018216",
            "telephone_number": "270-369-8984",
            "fax_number": "270-369-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE FIRST ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-369-8984",
        "authorized_official_credential": "SAC"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000215944",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Ford, PTA
• Vincent Travis Ford
• Forefront Dermatology, S.C.
• Polly Foreman, MD
• Melissa Sue Forrest, CSW
• Robin Dale Fortune
• Michelle Foster, APSS
• Tracey L Fowl, MASTERS IN SPED
• Diana Dee Fox
• Nicholas Fox, D.C.

• Surgical Technologist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Surgical Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.